Job Description
Job Details Working Title: Case Mix Reviewer Job Class: Nursing Evaluator Agency: Health Department - Job ID : 89414
- Location : St. Paul
- Telework Eligible : No- This position works in the field most of the work time.
- Full/Part Time : Full-Time
- Regular/Temporary : Unlimited
- Who May Apply : This vacancy is open for bids and for all qualified job seekers simultaneously. Bidders will be considered through 10/11/2025.
- Date Posted : 10/05/2025
- Closing Date : 10/20/2025
- Hiring Agency: Minnesota Department of Health (MDH)
- Division/Unit : Health Regulation / Case Mix Review
- Work Shift/Work Hours : Day Shift / 8:00 a.m. -4:30 p.m.
- Days of Work : Monday - Friday
- Travel Required : Yes - Up to 75% of the time
- Salary Range: $37.82 - $55.93 / hourly; $78,968 - $116,781 / annually
- Classified Status : Classified
- Bargaining Unit/Union : 205 - Minnesota Nurses Association (MNA)
- Anticipated Start Date : 11/19/2025
- FLSA Status : Exempt - Professional
- Designated in Connect 700 Program for Applicants with Disabilities : Yes
The work you'll do is more than just a job. At the State of Minnesota, employees play a critical role in developing policies, providing essential services, and working to improve the well-being and quality of life for all Minnesotans. The State of Minnesota is committed to equity and inclusion, and invests in employees by providing benefits, support resources, and training and development opportunities.
Job Summary Elevate your career and use your nursing knowledge and expertise to be part of a team that provides surveillance and evaluation of health care providers to conduct audits of a percentage of residents in Medicaid-certified long-term care facilities for coding accuracy of Minimum Data Set (MDS) assessment forms and the resulting Case Mix classifications.
This position will also provide surveillance and guidance to health care providers using nursing and health-related knowledge based upon compliance with State and Federal laws and rules which directly relate to the case mix review (CMR) audit process.
Working as a Case Mix Reviewer you will:
- Evaluate and conduct audits on health care providers to ensure for accuracy of coding MDS assessment forms and the resulting Case Mix classifications.
- Document audit findings in the online Case Mix Review audit application.
- Complete a Case Mix Review of special or expanded pool audits when requested by Case Mix Review Program Supervisor.
- Complete medical record reviews of certified nursing facilities for the purpose of determining a facility's Institutions for Mental Diseases (IMD) status.
The position will be based out of the St. Paul office with most of the work time spent onsite performing surveillance of facilities predominately located in the metropolitan and surrounding area of Minnesota. Occasional travel outside of the base region is expected, to survey facilities located throughout the state of Minnesota. Most of the work hours are between 8:00 a.m.- 4:30 p.m., Monday-Friday, but candidates must be available for overnight travel. The need for overnight or travel outside of the base region is determined by audit workload. Reimbursement for authorized business travel expenses is provided according to bargaining unit guidelines. Qualifications Minimum Qualifications Current MN RN License
AND Two (2) years RN experience in a health care setting with the primary responsibility for assessing nursing and health needs and experience with documenting and writing of reports. This experience must also include evidence of documentation, reporting writing or equivalent.
A degree in Nursing, Public Health, Health Care Administration, Psychology, Social Work, Medical Field, Adult Education or closely related field may substitute for experience as follows:
- Master's degree: 18 months
- Bachelor's degree: 12 months
- Associate degree: 6 months
Additional qualifications to be assessed during the interview process: - Organizational skills sufficient for scheduling and implementing an audit process.
- Ability to make decisions and solve problems independently.
- Ability to develop and maintain working relationships.
- Ability to stay calm in stressful situations or when working individuals who are frustrated, distraught, anxious or hostile.
Preferred Qualifications - Previous experience completing MDS assessments and familiar with the Case Mix program.
- Previous experience working in a leadership role.
Physical Requirements - The Nurse Evaluator position requires transporting a laptop computer and Case Mix Review documentation/reference materials.
- The position requires loading and unloading the necessary materials and equipment in and out of a vehicle, so they are available for use during the onsite survey.
Additional Requirements - This position requires successful completion of a background study and employment reference checks.
- The employment does not require a valid driver's license, but it does demand travel, which the candidate will be responsible for meeting.
Application Details How to Apply Select "Apply for Job" at the top of this page. If you have questions about applying for jobs, contact the Careers Help Desk at 651-259-3637 or email careers@state.mn.us . For additional information about the application process, go to .
Contact If you have questions about this position, contact Amy Winters at amy.winters@state.mn.us or 651-201-5617 .
To receive consideration as a Connect 700 Program applicant, apply online, email the Job ID#, the Working Title and your valid Proof of Eligibility Certificate by the closing date to Amy Winters at amy.winters@state.mn.us .
If you are an individual with a disability and need an accommodation for an interview, you may contact the Department of Health ADA Coordinator at health.hr.ada@state.mn.us .
About Health Department Come work for one of the best public health systems in the nation and you will contribute to our mission to protect, maintain and improve the health of all Minnesotans. We are working hard to achieve our vision for health equity in Minnesota, where all communities are thriving, and all people have what they need to be healthy. Our collaborative, mission-driven work environment is a major factor in promoting a high level of employee health awareness, employee longevity and job satisfaction.
Working together to improve the state we love. What do Minnesota's State employees have in common?
- A sense of purpose in their work
- Connection with their coworkers and communities
- Opportunities for personal and professional growth
Benefits As an employee, you'll have access to one of the most affordable health insurance plans in Minnesota, along with other benefits to help you and your family be well.
Your benefits may include: - Paid vacation and sick leave
- 12 paid holidays each year
- Low-cost medical, dental, vision, and prescription drug plans
- Fertility care, including IVF
- Diabetes care
- Dental and orthodontic care for adults and children
- 6 weeks paid leave for parents of newborn or newly adopted children
- Pension plan that provides income when you retire (after working at least three years)
- Employer paid life insurance to provide support for your family in the event of death
- Short-term and long-term disability insurance that can provide income if you are unable to work due to illness or injury
- Tax-free expense accounts for health, dental, and dependent care
- Resources that provide support and promote physical, emotional, social, and financial well-being
Support to help you reach your career goals: - Training, classes, and professional development
- Federal Public Service Loan Forgiveness Program (Some positions may qualify for the Public Service Loan Forgiveness Program. For more information, visit the Federal Student Aid website at studentaid.gov )
Employee Assistance Program (EAP) for work/life support: - A voluntary confidential program that helps employees and their families with life challenges that may impact overall health, personal well-being, or job performance
- Common sources of stress can be addressed through the EAP: mental health, relationship challenges (personal and work), grief and loss, finances, and legal issues
- Daily Living/Convenience Services: Chore services, home repair, trip planning, child/elder care
Programs, resources and benefits eligibility varies based on type of employment, agency, funding availability, union/collective bargaining agreement, location, and length of service with the State of Minnesota.
EQUAL OPPORTUNITY EMPLOYERS Minnesota state agencies are equal opportunity, affirmative action, and veteran-friendly employers. State agencies are committed to creating a workforce that reflects the diversity of the state and strongly encourages persons of color and Indigenous communities, members of the LGBTQIA2S+ community, individuals with disabilities, women, and veterans to apply. The varied experiences and perspectives of employees strengthen the work we do together and our ability to best serve Minnesotans.
All qualified applicants will receive consideration for employment without regard to race, color, creed, religion, national origin, sex (including pregnancy, childbirth, and disabilities related to pregnancy or childbirth), gender identity, gender expression, marital status, familial status, age, sexual orientation, status regarding public assistance, disability, veteran status or activity in a local Human Rights Commission or any other characteristic protected by law.
APPLICANTS WITH DISABILITIES Minnesota state agencies make reasonable accommodations to their employees and applicants with disabilities. If you have a disability and need assistance in searching or applying for jobs with the State of Minnesota, call the Careers Help Desk at 651-259-3637 or email careers@state.mn.us and let us know the support you need.
Job Tags
Hourly pay, Full time, Temporary work, Part time, Work at office, Local area, Remote work, Monday to Friday, Shift work, Night shift, Day shift,